NPI | 1760949200 |
---|---|
Doing Business As | FAITH MEDICAL CLINIC, PLLC |
Doing Business As | FAITH MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | GLORIA LEWIS Fnp 806-418-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-07-29 |